UT Southwestern / Parkland Memorial Hospital

Affiliated with University of Texas - Southwestern — Dallas, TX

  • Trauma only
  • Critical Care only
  • Trauma & Critical Care
  • Acute Care Surgery
  • Advanced Practitioner
  • Duration: 1 or 2 years
  • Positions available: 6
  • Salary: (track-dependent)
  • Program Director: Christian T. Minshall MD, PhD

Last updated: March 10, 2015


Purpose

1.To provide extended post-surgical training in trauma surgery and surgical critical care.

2.To satisfy the American Board of Surgery requirements for obtaining certification of Added Qualifications in Surgical Critical Care.

Four fellowship tracks are available:

TRACK 1. An ACGME-approved one year experience consisting of the following: 5 months Parkland Memorial Hospital/Clements University Hospital SICU. The fellow will be primarily responsible for a spectrum of critically ill surgical patients. All patient management will occur under the direct supervision of an attending physician. There will be one night of in-house call responsibility for the SICU per month. Operative experience will be gained during this portion of the rotation through the coverage of Saturday trauma/emergency general surgery (EGS) call at the chief level with call to be rotated between the fellows. 3 months Parkland Memorial Hospital trauma/EGS service. The fellow will formally rotate on one of the Parkland Memorial Hospital trauma/EGS services where he/she will function at the level of chief resident. All patient management will occur under the direct supervision of an attending physician. In-house call will be every third day and every sixth night. The fellow will actively take part in trauma resuscitations and the operative management of traumatic and emergent general surgical conditions. These busy services each average 90 cases per month. 4 months critical care electives. The fellow will be given a choice between neurosurgery, burns, pediatric ICU, medical ICU, transplant ICU, anesthesia, pulmonary, vascular or cardiothoracic, or an additional month on the Parkland trauma/EGS service. During any of these elective choices, the fellow will be functioning under the direct supervision of an attending physician.

TRACK 2. This two-year track is similar to the AAST recommendations for Acute Care Surgery fellowships. The first year will be identical to track 1. The second year will consist of the following: 3 months Parkland Memorial Hospital SICU. The responsibilities will be the same as those of year 1. 9 months electives. The fellow will be granted considerable flexibility by the Program Director to tailor the elective experiences to his/her individual needs. Fellows will be allowed to choose from a combination of hepatobiliary/pancreatic surgery, vascular/interventional radiology, further months assigned to the Parkland Memorial Hospital trauma/EGS service while functioning at the level of chief resident, burns, Pediatric Intensive Care Unit (PICU), or neurosurgery. All elective months will be conducted under the direct supervision of an attending physician. Should the fellow desire, an MPH or graduate courses in clinical research through UT-Southwestern's Department of Clinical Sciences are available through this track.

TRACK 3. This two-year track is an exciting recent addition to our fellowship experience. The first year will be identical to track 1. At the completion of the first year of training, the fellow's designation will be changed to that of Clinical Instructor and the trainee will assume a junior faculty position for the remaining 12 months of his/her commitment. Institutional privileges will be granted and the Clinical Instructor will function at the level of a junior attending with complete autonomy for a defined period of 12 months. A senior faculty member will function as a source of around-the-clock backup should technical or judgmental assistance be desired on the part of the Clinical Instructor. The Clinical Instructor will rotate between staffing the Parkland trauma/EGS services (including attending level in-house trauma call), the Parkland SICU, and spending up to 3 months on electives. During the elective months, the Clinical Instructor will be supervised by an attending physician from the respective sub-specialty service. Salary is set at the mid-point of the range between fellow and assistant professor. Should the fellow desire, an MPH or graduate courses in clinical research through UT-Southwestern's Department of Clinical Sciences are available through this track. A prerequisite for matching into this track is that the fellow be eligible for Texas licensure.

Track 4. This is an ACGME approved 1-year position that encompasses the management of burn patients, surgical critical care and reconstructive surgery. After successful completion of the program, the fellow will meet the requirements to successfully complete the examination for Added Qualifications in Surgical Critical Care by the American Board of Surgery. 6 months on the Burn ICU service, 4 months of SICU, and 2 months of electives (neurocritical care, MICU, PICU, CCU, CVTS-ICU, Anesthesia).

General Description of the Fellowship

The large majority of the fellow's clinical responsibilities will be in the surgical intensive care unit at Parkland Memorial Hospital. The fellow will be directly supervised by faculty in all the surgical intensive care units. The critical care fellowship emphasizes clinical care. Upon completion of the fellowship, the fellow should have succinct knowledge of cardiovascular and pulmonary physiology and pathophysiology, ventilatory care, as well as cardiovascular monitoring and interpretation. The fellow will be competent in the management of multisystem trauma patients, recognition and treatment of major postoperative problems in surgical patients, and an appreciation of the critical care management of specialty patients including neurosurgical and cardiothoracic. A distinct effort has been made to increase the operative experience to the most permissible under ACGME requirements.

Program started 1986

How to apply

christian.minshall@utsouthwestern.edu  - (214) 648-8870 (phone) , (214) 648-5477 (fax)

Qualifications: The Fellowship Selection Process: A fellowship candidate must meet the following criteria: (1) Have completed training and holds an M.D. or equivalent degree (2) Is board eligible or board certified in General Surgery. Selection is based on interviews with UTSW faculty. Requirements for Application: (1) Completed application (2) 3 letters of recommendation (3) Enrollment in match.

Surgical critical care and Acute care surgery Fellowship Application Service: www.safas-sccpds.fluidreview.com

About the hospital

  • Beds: 990
  • ICU beds: 20
  • Annual ED visits: 150000
  • Annual trauma admissions: 5000
  • Trauma faculty: 13

Fellowship procedures

  • Total surgical (annually): 4000
  • General surgical: 77%
  • Trauma: 23%
  • Blunt trauma: 78%
  • Penetrating trauma: 22%

Location

5323 Harry Hines Blvd.
Dallas, TX 75390-9158

This information is provided by the party posting the listing and is solely responsible for its content. EAST is not responsible for the accuracy of the listing.

Eastern Association for the Surgery of Trauma

Contact
633 N. Saint Clair Street, Suite 2600 Chicago, Illinois 60611 (312) 202-5508 phone (312) 202-5064 fax managementoffice@east.org
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